To be considered for the Mountain West Leadership Institute program fill out all questions on this form and attach a letter of recommendation from your supervisor or CEO.  Applications are accepted through January 29, 2021.  Applications are considered on a first come, first served basis.  Notification of acceptance will be sent by February 10, 2021.  Contact Diana Adell at dadell@mwcua.com, 307-265-9250 for additional information.  

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* 1. Credit Union or Organization

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* 2. Applicant's Name

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* 3. Applicant's Title

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* 4. Applicant's Office Phone

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* 5. Applicant's Cell Phone

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* 6. Applicant's Email

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* 7. Branch Mailing Address

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* 8. Supervisor's Name & Title

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* 9. Supervisor's Phone

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* 10. Supervisor's Email

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* 11. Attach letter of recommendation from supervisor or CEO.

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* 12. Goals: In 50 words or less provide your own leadership goals.

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* 13. Leadership: In 50 words or less describe your own leadership experience.

Thank you for filling out our application.  You will be notified by Feb. 10 on your application.

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